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Impact of time perspectives on texting intervention to reduce HIV/STI transmission among female sex workers in Tijuana and Ciudad Juarez, Mexico.

Abstract：

:Text messages may sustain post-counseling gains in behavioral improvements and reduce HIV/STI incidence. However, their effectiveness may depend on the messages' time perspective and characteristics of the individual. We evaluated the impact of time perspective on a text messaging intervention designed to maintain improvements in safer sex practices among drug-using and non-drug-using female sex workers (FSWs) in Tijuana (n = 141) and Cd. Juarez (n = 129), Mexico. FSWs received the efficacious Mujer Segura intervention, and were randomized to receive safer sex maintenance text messages with either a short-term or future-oriented time perspective. The outcome was HIV/STI incidence rate over 6-month follow-up. In Tijuana, combined HIV/STI incidence density was lower among FSWs in the FUTURE group (31.67 per 100 py) compared to women in the SHORT-TERM group (62.40 per 100 py). Conversely, in Cd. Juarez, HIV/STI incidence density was lower (although non-significant) among FSWs in the SHORT-TERM group (19.80 per 100 py) compared to those in the FUTURE group (35.05 per 100 py). These findings suggest that future-oriented text messages may sustain post-counseling improvements in sexual risk behavior among FSWs, but findings may vary by FSWs' characteristics (e.g., drug use), and by region and context.

journal_name

J Behav Med

journal_title

Journal of behavioral medicine

authors

Patterson TL,Semple SJ,Abramovitz D,Harvey-Vera A,Pines HA,Verdugo S,Depp C,Moore DJ,Martinez G,Rangel MG,Strathdee SA

doi

10.1007/s10865-018-9948-1

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

111-127

issue

1

eissn

0160-7715

issn

1573-3521

pii

10.1007/s10865-018-9948-1

journal_volume

42

pub_type

杂志文章,随机对照试验

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